Organization
IDEAL HOME CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIS BARONGO ONGERI RN (PRESIDENT)
(952) 220-6198
Entity
Organization
Contact information
Practice address
1050 HIAWATHA AVE, # 339, HOPKINS, MN 55343-8144
(952) 220-6198
(952) 935-1911
Mailing address
750 2ND ST NE, SUITE 135, HOPKINS, MN 55343-8587
(952) 392-2314
(952) 392-2315
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
333665
MN
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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